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AZ
San Simon
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Optometrist (Clinical)
Tohono O'odham Nation Healthcare
San Simon, AZ
Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:The Optometrist provides diagnostic, preventative, and/or therapeutic eye care services to the patients of the Tohono O'odham Nation Sells hospital and health care centers. Scope of Work:This position is located within the Tohono O'odham Nation Sells hospital and is organizationally assigned to TONHC health center facilities. The incumbent provides direct, primary, prevention, and therapeutic optometric care to the Tohono O'odham Nation patients. The position may require 50% travel to any of the four health care facilities-the incumbent reports to the Optometry Supervisor. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Provides direct care to patients in a responsible, respectful and caring manner to diagnose optometric/ocular problems through external and internal physical evaluation of the eye and surrounding tissues. Independently provide comprehensive optometric services that utilize optometric procedures and instrumentation techniques to detect neuromuscular impairment or anomalies of binocular function. Treat visual disorders through examination, prescription of corrective lenses, vision training, and pharmacologic means. Responsible for reviewing case histories of patients, analyzing visual functions, far acuity, near acuity, a field of vision, depth of perception, ocular coordination, and color perception. Uses objective and subjective methods for detecting apparent ocular and systemic disease in the eyes and refers patients to the appropriate health professional upon diagnosing ocular manifestations of systemic disease. Prescribes vision aids, contact, and conventional lenses, and corrective eye exercises deemed necessary. Provide optometric services that require advanced instrumentation, procedures, and techniques to detect and correct unusual visual deficiencies. Consults with the Ophthalmology staff or private Ophthalmologist and medical practitioners as warranted.Record all patient care examinations, assessments, procedures, and care plans appropriate health records electronically and manually in compliance with professional standards. Provides guidance, direction, and support to facilitate the functions of the entire eye care staff. Follow Human Resources policies on EEO-related matters. Contribute to a team effort. Performs other job-related duties as assignedKnowledge, Skills, and Abilities:Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge and understanding of advanced optometric procedures and instrumentation techniques and their various applications in the detection and correction of unusual visual deficiencies.Knowledge of legal regulations and requirements about confidentiality, specifically to the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of urgent/emergency ocular treatment.Professional optometric knowledge and skills in examining and analyzing the eye for disease or defects and prescribing correctional lenses or exercises.Skill in providing superior customer service to external and internal customers.Ability to serve as an authoritative source of information for optometric conduct practice in any phase of the optometry program.Ability to organize and plan work.Ability to deal with individuals from a variety of diverse backgrounds.Ability to work independently, use sound judgment, and meet deadlines.Ability to communicate effectively orally and in writing.Ability to establish and maintain positive and effective working relationships with other employees and the general public.Ability to work extended hours and various work schedules.Minimum Qualifications: Doctor of Optometry (O.D.) accredited by the Council on Optometric Education, and One year work experience in clinical optometry practice.Licenses, Certifications, Special Requirements:A current license to practice optometry in a State, the District of Columbia, or a territory is required. Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
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Public Health Nurse
Tohono O'odham Nation Healthcare
San Simon, AZ
Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:The Public Health Nurse (PHN) serves as a community health advisor and provides comprehensive nursing services to schools, individuals, and families on the Tohono O'odham Nation. Scope of Work: This position is located within the Tohono O'odham Nation Health Care Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The incumbent works under the supervision of the Director of Public Health Nursing, who defines and establishes overall program objectives and operations according to Standards of Care for Public Health Nursing (PHN) Programs. According to the PHN priority policies for home visits, each PHN independently plans and schedules comprehensive nursing services for their geographic areas and determines the nature of assessment, counseling, teaching, and treatment to be provided. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Evaluate, promote, and maintain the health of at-risk individuals, families, and the community through teaching disease prevention activities, counseling, advocacy, referral, coordination of care, and appropriate health assessments and interventions. Assists with the coordination of the immunization program to include the tracking and follow-up. Manages and participates in public health screening clinics, including interviewing and counseling clients, performing clinical tasks, administering prescribed treatment, documentation of care, and making the necessary referral. Participate in emergency/bioterrorism preparedness and planning activities and respond and assist during emergencies, such as flooding, fires, microbursts, etc. Utilizes the public health nursing process of assessment, diagnosis, planning, intervention, and evaluation when: assessing the patient's condition and needs: setting outcomes; implementing appropriate nursing actions to meet the patient/family physical, emotional, spiritual, social, and safety needs; and evaluating the patient's progress. Refer the patient to the appropriate resources; organizes patient caseload in the assigned geographic area.Application of care treatment and intervention according to principles of population based health care and standing public health orders.Identifies and reports child abuse or dependent adult abuse and incidents of domestic violence.Provides maternal and child health services; makes home visits as necessary.Monitor prenatal patients and provide prenatal education, and participates in sonogram clinics. Plans and exchanges information with other health care entities for effective patient care; cooperates with other agencies in planning for patient care.Utilizes the RPMS systems as appropriate for position requirements and enters information into RPMS patient care packages as necessary.Coordinates response to outbreaks of reportable/infectious disease on the Tohono O'odham Nation. Work closely with state and tribal health departments in testing and contact investigation. Respond to communities for direct care and education. Utilize MEDSIS for investigation and surveillance of communicable diseases.Assists the physician in control and treatment and consults with various agencies (i.e. health department) on communicable disease issues.Sexually Transmitted Disease (STD) general: Coordinates care provision, case and contact investigation efforts, organize education efforts, and acts as liaison with State and Federal entities dealing with STD issues.Tuberculosis (TB) General: coordinates and implements the treatment plan for active cases and preventative therapy on TB infected individuals and; Conducts TB testing and surveillance; Plans and coordinates community investigations.Responds to public health emergencies as required.Promote, teach and demonstrate nursing care to patients, families, and community groups. Provide instruction and information regarding specific diseases or health conditions and health maintenance. Provide public health consultation services, including health education, to tribal programs, Head Start, schools, other settings in the community and TONHC employees, and outside agencies. Participate with local community groups in the development and planning of health services.Serve on various community task forces relating to the position.Participates in orientating new employees and mentoring nurses to public health nursing.Assists in planning and conducting continuing education. Maintain compliance with all mandatory training requirements. Lead and guides non-professional staff, i.e. Health Technician/Disease Investigator.Participates in performance improvement teams and other committees as assigned. Continually monitors the work processes for quality and quantity and makes recommendations for necessary corrective action.Maintains professional knowledge and proficiency in nursing and public health nursing through continuing education, staff meetings, workshops, and serving on nursing committees.Performs other duties as assigned.Knowledge, Skills, and Abilities:Knowledge of the Tohono O'odham traditions, language, history, geography, and culture.Knowledge of applicable federal, state, tribal laws, regulations, and requirements.Knowledge of health-related issues, medical terminology, and health and child care education.Knowledge of comprehensive health programs and the full range of professional public health nursing principles, practices, and procedures to formulate plans and provide services in clinics, homes, schools, and community environments.Knowledge of current research methods including statistical compilation and interpretation to participate in epidemiological surveys, field investigations and research studies related to planning, assessing and evaluating the community health programs.Knowledge and ability to apply methods and techniques of adult education to stimulate behavioral changes related to good health practices. Awareness of the customs of the Native American tribes within the area and the ability to appreciate cultural differences and their effect on health care delivery. Possesses knowledge and ability to make physical and psychological assessments of individuals, families, and communities and recognize the range of patient conditions from normal to abnormal abnormalities. Knowledge of the biological aspects of the disease process and illness to recognize complications and therapeutic interventions required. Knowledge of pharmaceuticals to recognize desired effects, side effects, and complications of their use.Knowledge and ability to advise and counsel healthy individuals in preventative care and to provide guidance in nutrition, common illnesses, child growth and development patterns, mental health, immunizations, and all aspects of maternal child health.Knowledge of available resources for primary care and referral services.Awareness of performance improvement and the evaluation process to improve patient care and facilitate monitoring and program planning.Knowledge of health records and ability to accurately complete and document clinical-related data.Ability to work independently to organize services to patient caseload in assigned geographic areas and function cooperatively as a PHN team member to achieve department objectives.Ability to communicate and interact with various personnel (tribal staff, other health care professionals, individuals in the community) of varying functions, level of knowledge, and care requirements to provide optimal care for the patient population.Knowledge and skill in computer usage and case management programs on RPMS and other systems. Knowledge of drugs and biologicals and the desired effect in treatment of disease and untoward and undesired side-effects.Knowledge of health records aspects of patient care and ability to accurately and completely document related clinical data.Ability to provide instruction and job experience for trainees assigned to the PHN and other training programs.Ability to drive government vehicles.Ability to establish and maintain positive and effective working relationships with other employees and the general public.Ability to maintain privileged, confidential information.Ability to work extended hours and various work schedules.Ability to work independently and meet strict time limes.Minimum Qualifications:Degree or diploma from a professional nursing program, approved by the legally designated state accrediting agency when the program was completed by the applicant, andTwo years of clinical nursing experience.Registration: Applicants must have active, current and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Licenses, Certifications, Special Requirements:Must have active, current, and unrestricted licensure as a Registered Nurse.Public Health or Community Health Nursing, preferred.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.Physical Demands:While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms, and talk or hear. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, crawl; and taste or smell. The employee must occasionally lift and/or move up to 50 pounds. The work requires extensive driving between communities. It involves moving and placing equipment in specialty clinics and health fairs and setting up audio-visual equipment for group presentations in communities and schools. Vehicle operation ranges from driving in isolated areas or unimproved roads. Occupational exposures to infectious and communicable diseases are possible. Exposure to persons under the influence of drugs and alcohol is possible.This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
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Best Match
Medical Officer (General Practice)
Tohono O'odham Nation Healthcare
San Simon, AZ
Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:A physician performs and provides diagnosis, care, and treatment of inpatients, ambulatory care patients, and emergency patients for the full range of clinical scenarios. In addition, as an expert licensed provider, the incumbent is responsible for the direct and indirect specialized child, adolescent, and adult services and administrative duties, including continuing education.Scope of Work:This position may be organizationally located in Tohono O'odham Nation Sells Hospital or in any TONHC health center. The incumbent works under the general supervision of the Clinical Director, who provides administrative oversight. Incumbent functions with considerable independence during the course of patient care. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Performs and provides care to patients primarily in ambulatory clinic and inpatient settings; provides patient care and consultation in the Emergency Department as needed.Interviews and examines patients, reviews past medical history, and requests and performs diagnostic tests and examinations.Makes preliminary diagnosis, recognizing rare and difficult to identity symptoms or signs.Directs, prescribes, or provides a complete treatment regimen or arranges for specialized care or patient referral as necessary.Note of observations and documents into clinical records.Provide emergency care as appropriate.Manages and oversees all medical categories for cases that do not require referral.Provide total patient care, including prevention, health maintenance, early diagnosis, treatment, and follow-up services.Routine duties shall include, even if rarely required, providing medical care and public health services to individuals eligible for services provided by TONHC in homes, schools, clinics, job sites, and other community locations within the TONHC service area.Review patient medications, diet, therapy course, adherence to the treatment management plan, and other observations to develop, modify and assess the treatment plan.Provide instructions and consultation to patients and their families.Performs and assists other physicians in the performance of minor surgery.Delivers infants when necessitated by urgent/emergent circumstances and provides or arranges for postpartum care. Coordinates and integrates information obtained into ongoing health care information systems utilized by TONHC.Ensures preparation of appropriate medical records for all patients seen to ensure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care.Disseminate clinical reports and correspondence concerning patients to physicians, hospitals, and other individuals and facilities.Works closely with allied health professionals to provide effective interdisciplinary health care services and treatment.Participates in a comprehensive Quality Improvement Program that meets the accreditation standards of The Joint Commission.Ensures clinical care is consistent with standards of practice, guidelines, and department-specific policies and procedures.Communicate effectively with patients and families in situations of medical, psychosocial, and cultural complexity.Performs other job-related duties as assigned and contributes to a team effort. Knowledge, Skills, and Abilities:Knowledge of applicable federal, state, tribal laws, regulations, and requirements.Knowledge of legal regulations and requirements about confidentiality, specifically to the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of the economic, educational, health, and social challenges faced by Native Americans in rural and urban settings.Skill in respectful and compassionate intercultural communication.Skill in providing superior customer service to external and internal customers. Ability to carry out professional practice fully respectful of Tohono O'odham culture, customs, and traditions.Ability to provide practical, comprehensive health care for patients across a full range of clinical scenarios.Ability to responsibly develop new approaches for situations in which the established techniques/practices and treatment regimen have not been effective.Ability to work independently with a wide latitude to determine and pursue a course of treatment with and for patients.Ability to travel within and outside the boundaries of the Tohono O'odham Nation as necessary to carry out duties and responsibilities.Ability to cope adaptively in stressful situations.Ability to communicate efficiently and effectively both verbally and in writing. Ability to exercise independent judgment. Ability to establish and maintain positive and effective working relationships with other incumbents and the general public.Minimum Qualifications:Doctor of Medicine or Doctor of Osteopathy from the United States or Canadian medical school approved by a recognized accrediting body in the year of applicant's graduation. ORA Doctor of Medicine or equivalent degree from a medical school not of the USA or Canada that provided education and medical knowledge substantially equivalent to accredited schools in the United States, as demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG), or a Fifth Pathway Certificate.Completed an approved internship and a license to practice medicine.One to two years of professional experience beyond the completion of formal internship training or progressive experience equivalent in breadth and intensity, or culmination of three to four years of residency training.Licenses, Certifications, Special Requirements:Must possess and maintain a permanent, complete, and unrestricted license to practice medicine in a State, District of Columbia, Commonwealth of Puerto Rico, or the United States territory.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
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